{
"Npi": {
"NPI": "1003972779",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FRANCO",
"FirstName": "DENICE",
"MiddleName": "HORSFIELD",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DO",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HORSFIELD",
"OtherFirstName": "DENICE",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "D.O.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "631 LAKE AVE STE A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAINT JAMES",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11780-1964",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "631-332-6923",
"MailingAddressFaxNumber": "631-573-4820",
"FirstLinePracticeLocationAddress": "631 LAKE AVE STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAINT JAMES",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11780-1964",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "631-332-6923",
"PracticeLocationAddressFaxNumber": "631-573-4820",
"EnumerationDate": "12/28/2006",
"LastUpdateDate": "05/17/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "208100000X",
"TaxonomyName": "Physical Medicine & Rehabilitation Physician",
"LicenseNumber": "OS015157",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208100000X",
"TaxonomyName": "Physical Medicine & Rehabilitation Physician",
"LicenseNumber": "OT011684",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208100000X",
"TaxonomyName": "Physical Medicine & Rehabilitation Physician",
"LicenseNumber": "A276630-01",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}